| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,048.00 | |
AllWays Health Partners
| Facility | $1,061.00 | $3,997.00 | $12,379.00 | |
AllWays Health Partners
| Facility | AS | $115.63 | $115.63 | $889.94 |
Fallon Health
| Facility | $457.20 | $985.78 | $6,679.00 | |
Health New England
| Facility | $699.75 | $699.75 | $699.75 | |
Mass General Brigham
| Facility | $1,725.68 | $4,525.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $115.63 | $115.63 | $889.94 |
United
| Facility | $1,700.00 | $4,249.00 | $9,821.00 |